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General NPI Number Information
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NPI Number | 1972892610
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Entity Type | Organization
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Legal Business Name | GHODS CHIROPRACTIC INC.
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 4121 TENTH STREET
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 951-454-0607
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Fax | 951-684-4435
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Provider Business Mailing Address
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Address Line | 4121 TENTH STREET
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City | RIVERSIDE
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State | CA
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Zip | 92501
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Country | US
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Telephone | 951-454-0607
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Fax | 951-684-4435
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMAN GHODS
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Credential | D.C
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Telephone | 951-454-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26627
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License Number State | CA
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